To better understand what a Sub Chorionic Hematoma (SCH) is:
A subchorionic hematoma, subchorionic bleeding is the accumulation of blood within the folds of the chorion (the outer fetal membrane, next to the placenta) or within the layers of the placenta itself. These bleeds, or clots, can cause the placenta to separate from the uterine wall if they get too large, if they develop in a bad spot, or if they aren’t eventually reabsorbed.
While most subchorionic hematomas dissolve on their own, it is possible for the clot to get in between the placenta and the uterine wall, resulting in miscarriage, increased risk of placental abruption and preterm labor. Depending on the findings, as well as on your practitioner’s preferences, he or she may put you on strict bed rest, insist you refrain from lifting heavy objects, and avoid exercise.
To make a long story short, I have been bleeding fairly consistently since the very beginning of my pregnancy. At first, the SCH was never visible but after having so many scans and a few very detailed scans after several large bleeds they have finally found an SCH. Basically, because I bleed so regularly we are at risk of pre term delivery which could result in a loss before 28 weeks. Our Obstetrician is hopeful that by 20 weeks the bleeding will subside and we can go on to have a successful pregnancy, but right now we are in a risky zone and there is nothing they can do to stop it. To give us the best chance the treatment prescribed is...bed rest.
There are various forms of bed rest, I have been on both strict bed rest immediately following a bleed and also modified rest once the bleeding has eased off. The strict bed rest entails not moving out of bed unless going to the bathroom or having a shower and this has to happen for a good few days until the bleeding is 100% gone. Everything must be done for me. Modified rest is a little easier, I am able to pop out and about for very short periods of time and do a few things around the house but I still must have an adequate rest period throughout the day. All in all I am generally unable to lift or carry anything, absolutely no exercise (including walking) and housework is pretty much out of the question.
Being on any type of rest is a lot harder than you would imagine, particularly when you have a family to take care of. We are incredibly lucky to have such a wonderful family who take a lot of the pressure off us by helping take care of William and cooking us meals and doing a lot of the housework.
At this point I am still on steroids and Zofran to help fight the Hyperemesis and I trust that my Obstetrician is doing everything he can to prevent pre term labour by having weekly ultrasounds and check ups. Like many other decisions I have made this pregnancy, I have learnt to accept that science and medicine sometimes do have a very valuable place during pregnancy.
One thing I am working on is getting used to having people do things for me. As you would know, I am a control freak so I do have trouble accepting the fact that I need people to do things for me 99.9% of the time.
I must remind myself when I am having a low day (and trust me, there are many) why I am lying here and that this will all be worth it in the end.
Much love x